Provider Demographics
NPI:1477104347
Name:BALBIN, HATSUE
Entity Type:Individual
Prefix:
First Name:HATSUE
Middle Name:
Last Name:BALBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 SW ROBERTSON DR
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5814
Mailing Address - Country:US
Mailing Address - Phone:360-929-6332
Mailing Address - Fax:
Practice Address - Street 1:2010 SW ROBERTSON DR
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5814
Practice Address - Country:US
Practice Address - Phone:360-929-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider